| NPI | 1770135436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CT 7238) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 12595) |
| Enumeration Date | 2019-07-12 |
| Last Update Date | 2024-02-09 |